Mu rwego rwo kuvugurura isura, kunoza byimazeyo agace kari munsi yijisho ryamye ari ikibazo cyibanze kubaganga nuburwayi bwiza. Amashashi munsi y'amaso, amarira, amarira ya malar, n'amatama agabanuka - ibi bimenyetso bine byo gusaza bikunze guhurirana, bigira ingaruka zikomeye kumiterere rusange yo mumaso no kugaragara mubusore. Muri ibyo, amarira y'amarira aragaragara cyane; igicucu cyavuyeho numunaniro ugaragara nibintu byingenzi bigira uruhare mubisaza. Iyi ngingo izacengera muburyo bwihariye amarira y'amosozi HA yuzuza ikibazo , gusesengura uburyo kuzuza amarira bishobora kugerwaho hamwe kuvugurura amaso no gushyigikirwa hagati, no gusuzuma ingaruka zigihe kirekire zuzuza aside hyaluronic, igamije gutanga ibisobanuro kubikorwa byubuvuzi.
Inzitizi zidasanzwe hamwe nubwiza bwamarira
Amarira y'amarira yerekeza cyane cyane ku kwiheba guterwa na atrophy hamwe no kugabanuka kw'uturemangingo tworoheje ku nkombe yo hepfo ya septum ya orbital. Ahantu habo anatomique ubusanzwe itangirira ku mfuruka y'imbere y'ijisho, ikamanuka ikamanuka ikamanuka ikazenguruka mu gice kiri hagati y'umusaya n'amazuru, akenshi bikaba munsi y'ahantu h'imifuka y'amaso. Isura yabo isobanura intege nke zububiko bwa periorbital, gutakaza ingirangingo zumubiri, nintangiriro yo kongera amagufwa. Ibi ntabwo byongera gusa kwibeshya kwa 'uruziga rwijimye ' ahubwo binabangamira ubworoherane nubukomezi bwo mumaso yo hagati binyuze mumucyo nigicucu.
Kuraho gusa imifuka yijisho udakosoye amarira amarira akenshi binanirwa kugera kubisubizo byiza byubuzima. Kubwibyo, intandaro ya an ingamba zuzuza amaso ziri mu isuzuma ryuzuye: gutandukanya imifuka ya pseudo-ijisho (mubyukuri ni amarira yo kwiheba) hamwe n amashashi yijisho ryukuri, no kumenya niba hariho guherekeza kugabanuka kwijwi ryo hagati no kugabanuka kwa ligamenti (nkumurongo wu Buhinde n'amatama agabanuka). Intsinzi kuvura amarira yuzuza imiti bigomba kurenga kwuzura kwaho, byibanda ku kubaka inzibacyuho karemano yo hagati-yo hepfo no kugarura inkunga yo hagati.
Inyigo: Isesengura rirambuye ryamarira ya Hyaluronic Acide Yuzuza Urubanza Ibi ubushakashatsi bwamarira ya hyaluronic aside burimo umurwayi wumugore wimyaka 42 wibanze cyane kumunoza asa numunaniro ukabije. Isuzumabumenyi rya Clinical ryagaragaje: ihungabana rikomeye ry’ibice byombi (biringaniye), biherekejwe no gutakaza ijwi ryoroheje mu gitsike cyo hepfo no gutobora hakiri kare malar, hamwe no kugaragara kwambere kwizuru rya nasolabial. Uruhu rwarimeze neza, ntiruhungabana.
Intego zo kuvura zashyizweho ku buryo bukurikira:
1) Wuzuze neza kandi neza amarira amarira kugirango akureho igicucu cyarohamye;
2) Kugera ku kintu cyoroheje cyo guterura no gushyigikira binyuze mu gutera inshinge mikorobe ku ngingo zingenzi mu maso hagati, kuzamura mu buryo butaziguye isura y’imitsi ya nasolabial;
3) Kugarura inzibacyuho yoroheje hagati yijisho ryo hepfo nu gice cyumusaya
Gahunda yo Kuvura no Gutoranya Ibikoresho: Nyuma yo kuganira neza, hatoranijwe biphasic ihuza hyaluronic aside yuzuza hamwe hamwe, viscoelasticité itagereranywa, hamwe nubushobozi bwiza bwo gushyigikira. Ubu bwoko bwibicuruzwa burakwiriye kwuzuzwa neza kuri periosteum cyangwa mubice byimbitse bitewe nimiterere yabyo, bitanga inkunga ihamye mugihe bigabanya ingaruka zingaruka za Tyndall.
Isuzumabushobozi no Kwitegereza kuramba
Ingaruka Zihita kandi Zigihe gito (ibyumweru 1-2 nyuma yuburyo bukurikira): Ako kanya nyuma yuburyo bukurikira, ihungabana ryamarira ryamarira ryarushijeho kuba ryiza, igicucu cyo munsi yijisho ryaragabanutse, kandi isura yumunaniro iragabanuka cyane. Kubyimba byoroheje byagabanutse mu minsi 3-5. Mu cyumweru kimwe cyakurikiranwe, ibisubizo byari bisanzwe, kandi abarwayi bagaragaje ko bishimiye ubworoherane bw’agace k’amaso yo hepfo hamwe n’ingaruka rusange yo 'guterura ' yo hagati. Bitewe n'ubujyakuzimu bwuzuye hamwe na dosiye igabanya ubukana, nta ngorane nko gukomeretsa, node, cyangwa kutaringaniza byabaye.
Ingaruka zigihe giciriritse (amezi 3-12 nyuma yuburyo bukurikira): Gukurikirana amezi 3, 6, na 12 byerekanaga ko ingaruka zuzuye zagumye zihamye. Imibare yavuye muri aya marira ya hyaluronic aside yuzuza ubushakashatsi bwerekanye ko kunyurwa kwabarwayi byakomeje kuba hejuru muri iki gihe. Acide ya hyaluronic yatewe yinjizamo neza hamwe nuduce, ntabwo itanga ubufasha bwumubiri gusa ahubwo inateza imbere uruhu rwaho binyuze mu ngaruka zayo. Ingaruka yoroheje yo gushyigikira mumaso yo hagati yatumaga imitsi ya nasolabial igaragara neza, kandi imyanya yo mumatama ya chekbone yarakozwe neza.
Isuzuma rirambye ryigihe kirekire (amezi 18-24 nyuma yuburyo bukurikira): Mugihe cyamezi 18 nyuma yuburyo bukurikira, nubwo zimwe mungaruka zuzuye zari zahinduye metabolisme, agace k'amarira karacyafite leta yateye imbere cyane ugereranije na mbere yo kuvurwa, kandi muri rusange kontour 'kwibuka ' yarazigamwe. Mugihe cyamezi 24, ingaruka nyamukuru yo gushyigikira yari imaze gucika intege, ariko yari ikiri hejuru kurwego rwibanze. Uku kuramba kwitirirwa:
1. Gutera inshinge zimbitse: Subperiosteal / kuzuza ibice byimbitse bifite umuvuduko muke wa metabolike.
2 .
3. Igishushanyo mbonera cyiza: Inkunga yo guhuza isura yo hagati isenya urunigi rwabasaza, bigatuma iterambere muri rusange risobanuka mubijyanye na 'kurwanya gusaza. '
Kugereranya no Gushyira mu bikorwa: Ugereranije no kuzuza ibintu byoroheje byuzuye, iyi ngamba ihuriweho yibanda ku nkunga yimbitse no guhinduka hagati yo hagati yerekana inyungu zikomeye mubijyanye no gukora neza, kuramba, na kamere. Ibi amarira ya tride hyaluronic acide nayo yemeza imikorere yigitekerezo cya kijyambere cyo gutera inshinge za 'umubare muto, inshinge zimbitse, hamwe ninkunga nyinshi. '
Ikiganiro Cyagutse Kuzuza Amarira Yuzuye: Kugereranya nibindi bikoresho hamwe nuburyo Nubwo aside ya hyaluronike ari yo nzira nyamukuru yo guhitamo amarira yuzuza amarira, ibindi bikoresho nka kolagen nabyo bifite ibyo bisaba. Kolagen ifite ibinyabuzima bisa numubiri wumuntu, ifite biocompatibilité yo hejuru, byoroshye kuyikora, kandi irashobora gutuma habaho kuvugurura kwa endogenous collagen, itanga inyungu zinyongera mugutezimbere uruhu rwumurongo n'imirongo myiza. Nyamara, imbogamizi nyamukuru yacyo ni ukubura ingaruka zuzuye kandi zuzuye, no kudasubira inyuma. Ku marira amarira cyane cyane arangwa no gutakaza amajwi kandi bisaba guhita byoroha, aside hyaluronic ikomeza gukundwa munsi yijisho ryuzuza bitewe ningaruka zahanuwe kandi zishobora guhindurwa, bikemerera guhinduka neza kwa muganga.
Kubintu bitobora amarira aherekejwe no kutagira uruhu rukabije cyangwa imifuka yijisho ryukuri, kuvura hamwe nuburyo bwiza. Ibi birashobora kubihuza no guhuza uruhu rwa radiofrequency kugirango urusheho gukomera kwuruhu, cyangwa gukoresha orbital septum yo kurekura orbital septum kurekura amavuta yumufuka wamaso kugirango wuzuze amarira, kugera kuntego ebyiri icyarimwe. Muri iki gihe, kubera ko uruhu rw’umurwayi rwakomeje kwemerwa, inshinge imwe ya aside ya hyaluronike yageze ku bisubizo byifuzwa.
Umwanzuro Uru rubanza kuvugurura munsi y-ijisho byerekana ko ingamba zihuriweho, zishingiye ku gutera inshinge zuzuye, zuzuye za hyaluronike zuzuza amarira mu marira, zongerwamo inshinge-mikorobe ahantu h'ingenzi mu maso, ni uburyo bwizewe kandi bwizewe bwo kugera ku buryo bugaragara bwo kuvugurura amaso no mu maso hagati. Binyuze mu isesengura ryimbitse ryibi amarira y'amashanyarazi HA yuzuza ikibazo , hemejwe ko ubu buryo budatanga gusa gukosora byihuse kandi karemano bwo gukorora amarira gusa ahubwo binatanga iterambere rirambye mumezi 18-24 mugutanga inkunga yimbitse, muguhindura kuburyo butaziguye isura yimitsi ya nasolabial hamwe numusaya wa pome.
Kuzuza amarira yuzuye amarira birenze kure kuzuza umwobo; ni ubuhanzi bwuzuye busaba ubumenyi bwimbitse bwa anatomique, tekinike yo gutera inshinge, hamwe nicyerekezo cyiza cyiza. Abaganga bagomba gusuzuma neza itandukaniro rya buri murwayi, bagahitamo ibicuruzwa byuzuza, bagatanga neza dosiye ikwiye mubwimbitse, kandi buri gihe bagashyira imbere umutekano, ibisubizo karemano, ningaruka ndende kugirango bagere kubuzima bushya.
